DR. KAJUANA PEARLDEALIA FARREY D.M.D.
NPI 1790911170
Dentist - General Practice in Moultrie, GA

Q: What is Kajuana Farrey's NPI number?

The NPI number for Kajuana Farrey is 1790911170. It was assigned to this individual provider in the NPPES registry on May 30, 2009.

Q: What is Kajuana Farrey's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kajuana Farrey was last updated on March 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 30, 2009PECOS Enrolled

513 S MAIN ST, MOULTRIE, GA 31768(229) 890-3908(229) 890-3909 Get Directions Write a Review

NPPES record last updated: March 27, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Kajuana Pearldealia Farrey D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KAJUANA PEARLDEALIA FARREY D.M.D. (NPI 1790911170) is an individual general practice provider in Moultrie, Georgia, licensed in Georgia (DN013880) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790911170

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KAJUANA PEARLDEALIA FARREYCredential: D.M.D.

Location Address513 S MAIN STMoultrie, GA 31768-4637

Mailing AddressPo Box 2229Moultrie, GA 31776-2229 · (229) 890-3908 · Fax (229) 890-3909

Phone(229) 890-3908

Fax(229) 890-3909

Sole ProprietorYes

Enumeration DateMay 30, 2009

Last NPPES UpdateMarch 27, 2011

✔ NPI 1790911170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · DN013880

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentist · Dental Public HealthTaxonomy 1223D0001X · License DN013880 (GA)

513 S MAIN ST, Moultrie, GA 31768

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Other Identifiers 1

Medicaid148974731BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kajuana Pearldealia Farrey D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kajuana Farrey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Farrey Family Dentistry LLC

Same address

General Practice

513 S MAIN ST
Moultrie, GA 31768

Reassigned Medicare billing, Georgia enrollment

NPI 1265731442 (229) 890-3908

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31768 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FARREY FAMILY DENTISTRY LLC

Dentist (General Practice)

513 S MAIN ST
MOULTRIE, GA 31768

Colquitt County (229) 890-3908

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kajuana Farrey's NPI number?

The NPI number for Kajuana Farrey is 1790911170. It was assigned to this individual provider in the NPPES registry on May 30, 2009.

Where is Kajuana Farrey located?

Kajuana Farrey practices at 513 S Main St, Moultrie, GA 31768. The listed phone number is (229) 890-3908.

What is Kajuana Farrey's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kajuana Farrey enrolled in Medicare?

Yes. Kajuana Farrey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kajuana Farrey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kajuana Farrey reassigns Medicare benefits to Farrey Family Dentistry LLC (Moultrie, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kajuana Farrey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kajuana Farrey accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 10 other insurers list Kajuana Farrey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kajuana Farrey was last updated on March 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.